1. Home
  2. Directory
  3. California
  4. Fresno
  5. Home Health
  6. NPI Profile

BLOSSOM CARE INC.
NPI 1679196034
Home Health in Fresno, CA

Active since May 20, 2020CLIA 05D2268627 · Waiver
1500 W SHAW AVE STE 302, FRESNO, CA 93711(559) 430-5895 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossom Care Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM CARE INC. (NPI 1679196034), doing business as Blossom Home Health, is a healthcare organization registered as a home health in Fresno, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Haykanush Keshishyan, Owner/ceo/dpcs, as its authorized official.

NPPES Registry Identity

NPI1679196034
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBLOSSOM CARE INC.
Location Address1500 W SHAW AVE STE 302Fresno, CA 93711-3501
Mailing Address1500 W Shaw Ave Ste 302Fresno, CA 93711-3501 · (559) 430-5895
Phone(559) 430-5895
Organization SubpartNo
Authorized OfficialHaykanush KeshishyanOwner/ceo/dpcs · (559) 430-5895
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1679196034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1500 W SHAW AVE STE 302, Fresno, CA 93711
Open in Google Maps ↗

Other Names 1

Doing Business AsBlossom Home Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2268627

Blossom Care Inc · Fresno, CA
Active · expires Sep 13, 2026
CLIA Number05D2268627
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorAntonis Antoniou
Laboratory Phone(559) 430-5895
Laboratory LocationBlossom Care Inc1500 W Shaw Ave Ste 302, Fresno, CA 93711
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Care Inc.'s NPI number?

The NPI number for Blossom Care Inc. is 1679196034. It was assigned to this organization in the NPPES registry on May 20, 2020. The provider is doing business as Blossom Home Health.

Where is Blossom Care Inc. located?

Blossom Care Inc. is located at 1500 W Shaw Ave Ste 302, Fresno, CA 93711. The listed phone number is (559) 430-5895.

What is Blossom Care Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Blossom Care Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2268627) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blossom Care Inc. was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.